Assessments
Based on CMS Requirements, identify which pts require a New Patient Pre-Tx Evaluation by the RN (P&P 01-03-07, 05-02-28, 12-03-03)
What is any pt treating or training for the first time at the facility (new admissions, transfers, patient visitors)?
Although not included in DQI score, this item was added as a new Ancillary Metric
What is Covid-19 vaccinations?
The surveillance tests (and in what frequency) needed for a pt who is Antigen Negative, Core Positive, Antibodies >/= 10
What is monthly antigen and annual antibody testing?
The Core Survey Report can be found HERE and must be given to the surveyors within what TIMEFRAME?
What is in FHR and what is given within 3 hours?
Frequency of which the Covid-19 Infection Control Audits are to be completed
What is weekly?
Identify which patients require an Initial Assessment and Plan of Care (P&P 01-14-01, 05-15-02, 12-16-01)
Who are patients new to dialysis, patients with a modality change and patients post-failed transplant?
Although not included in the DQI score, this monthly task is part of the QIP and PRD rating
What is the monthly Medication Reconciliation process for all patients?
For a DaVita to DaVita admission, this is the timeframe allowed for Hep B Surface Antigen for susceptible patients?
What is monthly antigen?
Identify when chloramine checks are to be completed
What is daily prior to the start of the first treatment and every four hours until all activities requiring dialysis quality water is completed?
CMT: Weekly utilization goals for Facility Log-In and Care Activity Assignment
What is 90% for facility log-in and 80% for Care Activity Assignment?
Identify which type of assessment/plan of care can have their due date changed (P&P 01-14-01, 05-15-02, 12-16-01)
What is the Initial Assessment and POC?
This report is to be submitted weekly when a facility's DQI is <55
What is Clinical Action Plan?
Required ongoing surveillance if a new patient has a negative TST (one-step) completed within 3 months prior to admission
What is administer a second TST 1-3 weeks after admission and an RAQ and then re-administer a TST and RAQ annually?
Surveyors will request for this "timeframe" of Grievance Logs?
What are the Grievance Logs for the last 6 months?
CMT: IKC Monthly Risk Rating adherence goal
What is 80%?
PD: Expectation of the RN if patient does not submit or complete Daily Home Treatment Records/Flowsheets (P&P 05-01-29)
What is the RN will review with the patient the importance of home records and the patient's responsibility to provide them, issue new record sheets and document intervention in Falcon?
These 2 metrics were removed from HHD's DQI
What is Patient Satisfaction Survey and Uncorrected Calcium?
Vaccinations offered to patients
What are Hep B, Pneumococcal, Influenza and Covid-19 vaccines?
When performing chloramine checks, identify how long to dip the test strip and how to perform the test
What is dip the strip for 60 seconds and move the strip back and forth at a gentle rate of about two, 1-2 inch wide strokes per second?
In HHD, this medication is now the standard formulary option for anemia management
What is Mircera?
Surveyors will often cite the clinic when this "area" is covered by the patient during treatment and the TMs have not done "this" (P&P 01-03-08)
What is a covered access site? And what is TM intervention and documentation of the education provided to patient re: importance of maintaining a visible access site at all times?
What is 25 points?
DaVita is eligible to return Fluzone and Flucelvax until this date
What is May 15, 2022?
Identify two internal audits that will be completed by your favorite MCS to assess your facility's survey readiness?
What are the Facility Safety Tool (FST) and Comprehensive Assessment Tool (CAT) audits?
This Emergency Preparedness task is due Friday, April 8
What is the Hazard and Vulnerability Assessment?